FORM 1023-EZ for CITY LACROSSE FREDERICK

Field Data
EIN 84-2551102
Case Number EO-2019213-000192
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CITY LACROSSE FREDERICK
Organization’s Mailing Address 2218 W GREENLEAF DR
City FREDERICK
State MD
ZIP 21702
Accounting period End 12
Primary contact name DAVID J LAUTERBACH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID LAUTERBACH
DIRECTOR
2218 W GREENLEAF DR
FREDERICK MD 21702

Officer/Director/Trustee Two

BRANDON BREWBAKER
DIRECTOR
650 CARROLL PARKWAY
FREDERICK MD 21701

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/19
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DAVID LAUTERBACH
Signature Title DIRECTOR
Signature Date 7/30/19

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